现代医院
現代醫院
현대의원
MODERN HOSPITAL
2009年
8期
60-62
,共3页
羊水栓塞%地塞米松%肝素%全宫切除
羊水栓塞%地塞米鬆%肝素%全宮切除
양수전새%지새미송%간소%전궁절제
Amniotic fluid embolism%Dexamethasone%Heparin%Subtotal hysterectomy
目的 探讨8例羊水栓塞的治疗方法 ,总结认识与体会.方法 回顾性分析8例羊水栓塞的治疗及母儿预后的临床资料.结果 8例均出现血压下降、休克,7例发生前驱症状的临床表现.其中存活7例,死亡1例.结论 抢救成功的关键为早期识别症状,正确地做出诊断,及时应用肾上腺皮质激素、肝素,快速补充血容量及纤维蛋白原,去除致病因子,及早行全子宫切除术.对提高羊水栓塞患者抢救成功率有很大临床价值.
目的 探討8例羊水栓塞的治療方法 ,總結認識與體會.方法 迴顧性分析8例羊水栓塞的治療及母兒預後的臨床資料.結果 8例均齣現血壓下降、休剋,7例髮生前驅癥狀的臨床錶現.其中存活7例,死亡1例.結論 搶救成功的關鍵為早期識彆癥狀,正確地做齣診斷,及時應用腎上腺皮質激素、肝素,快速補充血容量及纖維蛋白原,去除緻病因子,及早行全子宮切除術.對提高羊水栓塞患者搶救成功率有很大臨床價值.
목적 탐토8례양수전새적치료방법 ,총결인식여체회.방법 회고성분석8례양수전새적치료급모인예후적림상자료.결과 8례균출현혈압하강、휴극,7례발생전구증상적림상표현.기중존활7례,사망1례.결론 창구성공적관건위조기식별증상,정학지주출진단,급시응용신상선피질격소、간소,쾌속보충혈용량급섬유단백원,거제치병인자,급조행전자궁절제술.대제고양수전새환자창구성공솔유흔대림상개치.
Objective To probe into the treating method for 8 patients with amniotic fluid embolism and summarize the cognition and experience.Methods A retrospective analysis was made on the treatment of 8 patients with amniotic fluid embolism and the prognosis clinical material of mother and baby.Results All of them had the drop of blood pressure and shock.7 cases had premonitory symptom.7 cases had survived and 1 case had been dead.Conclusion It is very important for the successful rescuing that the symptom is found out in early period, diagnosis is correctly made, adrenocortical hormones and heparin are used in time, amount of blood and fibrinogen level were supplied quickly, pathogenic factors are removed and subtotal hysterectomy can be carried out early, which has absolutely clinical value for the successful rescuing patients with amniotic fluid embolism.
